Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,946.10 / $1,946.10 / $1,946.10	Facility		$1,946.10	$1,946.10	$1,946.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,256.22 / $1,306.61 / $1,946.10	Professional		$1,256.22	$1,306.61	$1,946.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,450.41 / $1,450.41 / $1,450.41	Facility		$1,450.41	$1,450.41	$1,450.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.74 / $1,232.84 / $1,450.41	Professional		$184.74	$1,232.84	$1,450.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,639.23 / $5,752.53 / $6,239.23	Professional		$5,639.23	$5,752.53	$6,239.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $251.30 / $1,256.22 / $2,511.65	Facility		$251.30	$1,256.22	$2,511.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,644.30 / $4,030.99 / $4,377.27	Facility		$3,644.30	$4,030.99	$4,377.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $251.30 / $1,318.07 / $4,307.70	Facility		$251.30	$1,318.07	$4,307.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $202.43 / $239.19 / $294.49	Professional		$202.43	$239.19	$294.49
United Facility/Professional Professional Modifier Low / Median / High Price $928.60 / $1,100.01 / $1,833.35	Professional		$928.60	$1,100.01	$1,833.35